Taking a Break: Daily Respite Effects of Adult Day Services as Objective and Subjective Time Away From Caregiving.
Taking a Break: Daily Respite Effects of Adult Day Services as Objective and Subjective Time Away From Caregiving.
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休息一下：成人日间服务的每日休息效果作为远离护理的客观和主观时间。
DOI：
10.1093/geront/gnaa178
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Zarit,StevenH
中科院分区：
文献类型：
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作者：
Wylie,MollyJ;Kim,Kyungmin;Liu,Yin;Zarit,StevenH
背景和目的成人日间服务（ADS）可以为痴呆患者的照顾者提供情感和身体上的缓解。虽然以前的研究概念化的ADS使用在聚合水平作为一个二分法的结构，很少有人知道客观和主观的喘息作为不同的结构。本研究探讨了如何客观和主观的休息，从browing与照顾者的日常情绪wellbeing.Research Design and MethodsFamily照顾者（N= 173）的亲属使用ADS每周至少两次参加了连续8天（dayN= 1,359）的日常采访。参与者提供了每日休息时间和每日影响的信息。他们还报告了从工作责任和主要和次要工作压力源（即，工作冲突（Work Conflict）多层次模型被用来检查的研究questions.ResultsOn平均，照顾者报告7.12喘息小时的ADS天和1.74喘息小时的非ADS天。在控制了ADS使用和其他协变量后，更客观的喘息与更高的积极情感相关，而更主观的喘息与更低的消极情感相关。此外，照顾者与更大的工作冲突经历了更多的好处，他们的积极影响，作为一个结果，客观的喘息。Discussion and ImplicationsObjective和主观的喘息是独特的方面，可能会有不同的影响照顾者。对于在工作和生活之间发生冲突的照顾者来说，休息可能特别有益。
Background and ObjectivesAdult day services (ADS) can provide emotional and physical relief for caregivers of persons with dementia. While prior studies conceptualized ADS use at the aggregate level as a dichotomous construct, little is known about objective and subjective respite as distinct constructs. This study investigated how objective and subjective breaks from caregiving were associated with caregivers’ daily emotional well-being.Research Design and MethodsFamily caregivers (N= 173) whose relatives were using ADS at least twice a week participated in daily interviews over 8 consecutive days (dayN= 1,359). Participants provided information on daily respite hours and daily affect. They also reported perceived frequency of breaks from caregiving responsibilities and primary and secondary caregiving stressors (i.e., overload and work conflict). Multilevel models were used to examine the research questions.ResultsOn average, caregivers reported 7.12 respite hours on ADS days and 1.74 respite hours on non-ADS days. Having more objective respite was associated with higher positive affect, whereas more subjective respite was associated with lower negative affect, after controlling for ADS use and other covariates. Further, caregivers with greater work conflict experienced more benefits to their positive affect as a result of objective respite.Discussion and ImplicationsObjective and subjective respite are unique aspects of caregiving that may have varying impact on caregivers. Respite may be especially beneficial for caregivers experiencing conflict between work and caregiving.